| NPI | 1386689222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NN09621900) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APN000928) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2024-04-09 |